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							<font size="4" color="#356635">MEDICAL SAFETY GUIDE<br>
&nbsp;</font></h4>
  <p><strong>How Sildenafil Citrate Works:</strong> </p>
  <p>Two chemicals are produced by the male body whilst sexually aroused, Cyclic GMP which causes the muscles in the arterial 
    wall of the penis to relax (thus allowing increased blood  flow) and phosphodiesterase type 5 (PDE-5) which  decreases erections.&nbsp;  Sildenafil is a PDE-5 inhibitor, it causes a vigorous build up of Cyclic GMP 
      causing the penis to stay erect in inhibits the chemical which normally decreases an erection.&nbsp; In order to Sildenafil to work, the man must be sexually stimulated. Sildenafil will not work without sexual stimulation. </p>
  <h4 class="font12bold"> Sildenafil Citrate Side Effects:  <br>
&nbsp;</h4>
   Sildenafil Citrate side effects are generally mild in nature and every man may react differently to the drug. The most common side effects are an upset stomach, light headache and facial flushing (redness).&nbsp; Other possible yet 
                  less common sildenafil citrate side effects include  tinted or blurry vision and diarreah.&nbsp; Sever side effects include chest pains, severe nausea 
      or dizziness, and prolonged erections. If you experience any of these severe side effects, seek immediate medical attention. &nbsp;
							<br>
&nbsp;<h4 class="font12bold"> Medical precautions before taking Sildenafil Citrate:<br>
&nbsp;</h4>
                  Sildenafil Citrate pills or jellies must be used under  doctor supervision.&nbsp;We  strongly recommended  you talk to your GP in order to ensure that you are in top physical shape and that your heart is healthy enough for intense
  sexual activity.
                  <br>
&nbsp;<p><span class="style5">DO NOT take sildenafil citrate if you take any medicines that contain nitrates.</span>                  Nitrates are commonly found in drugs used in treating heart conditions such as 
                  Angina.&nbsp; Examples of these are Nitroglycerin, Isosorbide 
                  Mononitrate and Isosorbide Dinitrate.&nbsp; Nitrates are also 
                   found in  Amyl Nitrate ( 
                  Poppers), a recreational drug used primarily among younger men.&nbsp;  Mixing Sildenafil Citrate with  medications 
                  that contain nitrates can cause severe drops in blood pressure which can lead to heart attack 
  or stroke.&nbsp;</p>
                  <p>If you  suffer from any of the following 
    medical conditions, talk to your doctor BEFORE taking Sildenafil Citrate:&nbsp;</p>
                  <ul>
                    <li> Kidney or Liver Problems</li>
                    <li>  Heart Conditions (e.g. Irregular Heart Beat, Chest Pain, 
                      Heart Attack, Angina or Narrowing of the Aortic Valve)</li>
                    <li> High / Low Blood Pressure</li>
                    <li> History of Stroke</li>
                    <li> An Inherited Eye Condition called Retinitis Pigmentose</li>
                    <li> Any Blood Problems ( Leukaemia or Sickle Cellanemia)</li>
                    <li> Penis deformity- Peyronies Disease</li>
                    <li> History of prolonged erections lasting more than 4 hours</li>
                    <li>  Allergy to Sildenafil</li>
      </ul>
<strong>General Recommendations:</strong> <br>
&nbsp;<ul>
<li>Talk to your GP before taking any type of Erectile Dysfunction treatment</li>
<li>Make sure you are purchasing Genuine Sildenafil Citrate</li>
<li>Do NOT mix Sildenafil or Vardenafil or Tadalafil with other drugs</li>
<li>Only your doctor can recommend the right dose for you</li>
<li>DO NOT exceed one dose per day </li>
<li>DO NOT take Sildenafil, Vardenafil or Tadalafil with large amounts of alcohol. </li></ul>&nbsp;</div>
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